Caitlyn Rose Phelps, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0858 Issued in NH

Practice address

22 Tuck Rd
Hampton, NH 03842-1225

Phone

(603) 926-4551

NPI assigned

Aug 9, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1902571359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 TOFTREE LN",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204657",
            "telephone_number": "407-520-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TUCK RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421225",
            "telephone_number": "603-926-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "CAITLYN",
        "middle_name": "ROSE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NH",
            "license": "0858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Paterson
• Pendulum Physical Therapy
• Jenna Perrone
• Elyse Marie Perry
• Peter a. Thomas, DMD, PLLC
• Stacy Elizabeth Picard, MS SCHOOL PSYCHOLOGY
• Pinnacle Rehabilitation Network, LLC
• Miles Christian Plannette, BCBA
• Kayla Pollak, RN
• Katherine Elizabeth Prescott, M.S.

• All providers in Hampton, NH
• Occupational Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.